<div class="tab-header">
    <div class="title">
        <i class="fa fa-bars"></i><span>建筑破坏损失比管理</span>
    </div>
    <div class="tool">
        <button id="saveBtn" class="btn btn-default"><i class="fa fa-save"></i> 保存</button>
    </div>
</div>
<div class="single-panel">
    <form id="fxDamagePercentForm" class="form-horizontal" >
        <div class="row">
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="structureType"><span class="requird">*</span>结构类型</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="structureType" name="structureType"></select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="intact"><span class="requird">*</span>基本</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="intact" name="intact" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="slight"><span class="requird">*</span>轻微</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="slight" name="slight" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="medium"><span class="requird">*</span>中等</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="medium" name="medium" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="serious"><span class="requird">*</span>严重</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="serious" name="serious" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="whole"><span class="requird">*</span>完全</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="whole" name="whole" />
                    </div>
                </div>
            </div>
            <input type="hidden" id="createUser" name="createUser" />
            <input type="hidden" id="updateTime" name="updateTime" />
            <input type="hidden" id="updateUser" name="updateUser" />
            <input type="hidden" id="isValid" name="isValid" />
            <input type="hidden" id="createTime" name="createTime" />
            <input type="hidden" id="id" name="id" />
            <input type="hidden" id="objectCode" name="objectCode" />
            <input type="hidden" id="partitionFlag" name="partitionFlag" />
        </div>
    </form>
</div>
